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Amniotic Trisomy 13: A Case Study

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Araceli is a 21yo, G1 P0, who was seen for a follow-up ultrasound assessment. She has a history of chronic HTN but has not currently been on medication during the pregnancy. Based on her height and weight at the start of the pregnancy, her BMI was 32. She did have noninvasive prenatal testing (NIPT) that returned with an increased risk for trisomy 13. This occurred in Florida and she did have some elevations at that time that did not reveal any anomalies. She apparently declined amniocentesis. She transferred her care to the Tennessee area at around 29 weeks gestation. On our ultrasound assessments, not all of the anatomy can be cleared due to fetal position and maternal body habitus but again no positive markers for trisomy 13 have been identified. Therefore, it is possible that this could be a false positive NIPT.

Lately she has been having some episodes of headaches that come and go and did have an episode of itching for 2-3 weeks involving her hands and feet and was given ursodiol but did not take it and the itching resolved. On today’s assessment, she has positive fetal movement.

By dates that we have been using she is 37 5/7 weeks with an EDD of 07/19/17. The amniotic …show more content…
Because of her history of chronic HTN and her periodic symptoms and the fact that she states that she periodically has some elevated BP’s at home (though all of the ones in our office have been documented within normal limits). The plan will be to induce her at 38 weeks gestation. She therefore has been set-up for July 10th. She will come in at 10:30 p.m. on July 9th and on that day, she will be 38 weeks by the 7-week scan performed in Florida. In the meantime, she will follow daily fetal kick counts and we will see her back in 3-4 days for a repeat evaluation of the amniotic fluid and

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